{"id":"https://openalex.org/W7225639781","doi":"https://doi.org/10.1017/ipm.2026.10254","title":"Trainee psychiatrists\u2019 views on clozapine prescribing in Ireland","display_name":"Trainee psychiatrists\u2019 views on clozapine prescribing in Ireland","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225639781","doi":"https://doi.org/10.1017/ipm.2026.10254","pmid":"https://pubmed.ncbi.nlm.nih.gov/43003774"},"language":"en","primary_location":{"id":"doi:10.1017/ipm.2026.10254","doi":"https://doi.org/10.1017/ipm.2026.10254","is_oa":true,"landing_page_url":"https://doi.org/10.1017/ipm.2026.10254","pdf_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3E379E3F72FFF085CD8807891D72202E/S0790966726102547a.pdf/div-class-title-trainee-psychiatrists-views-on-clozapine-prescribing-in-ireland-div.pdf","source":{"id":"https://openalex.org/S27105705","display_name":"Irish Journal of Psychological Medicine","issn_l":"0790-9667","issn":["0790-9667","2051-6967"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","erih-plus","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1"],"host_organization":"https://openalex.org/P4310311721","host_organization_name":"Cambridge University Press","host_organization_lineage":["https://openalex.org/P4310311721","https://openalex.org/P4310311702"],"host_organization_lineage_names":["Cambridge University Press","University of Cambridge"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Irish Journal of Psychological Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3E379E3F72FFF085CD8807891D72202E/S0790966726102547a.pdf/div-class-title-trainee-psychiatrists-views-on-clozapine-prescribing-in-ireland-div.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5135207799","display_name":"R\u00f3is\u00edn McManus","orcid":"https://orcid.org/0009-0003-8094-7746","observed_orcids":["https://orcid.org/0009-0003-8094-7746"]},"institutions":[{"id":"https://openalex.org/I100930933","display_name":"University College Dublin","ror":"https://ror.org/05m7pjf47","country_code":"IE","type":"education","lineage":["https://openalex.org/I100930933"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Roisin McManus","raw_affiliation_strings":["St John of God\u2019s University Hospital","University College Dublin"],"raw_orcid":"https://orcid.org/0009-0003-8094-7746","affiliations":[{"raw_affiliation_string":"St John of God\u2019s University Hospital","institution_ids":[]},{"raw_affiliation_string":"University College Dublin","institution_ids":["https://openalex.org/I100930933"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089670161","display_name":"Ois\u00edn Conaty","orcid":"https://orcid.org/0000-0001-9819-3338","observed_orcids":["https://orcid.org/0000-0001-9819-3338"]},"institutions":[{"id":"https://openalex.org/I100930933","display_name":"University College Dublin","ror":"https://ror.org/05m7pjf47","country_code":"IE","type":"education","lineage":["https://openalex.org/I100930933"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Oisin Conaty","raw_affiliation_strings":["University College Dublin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University College Dublin","institution_ids":["https://openalex.org/I100930933"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083439209","display_name":"Paul McLaughlin","orcid":"https://orcid.org/0000-0002-2048-6226","observed_orcids":["https://orcid.org/0000-0002-2048-6226"]},"institutions":[{"id":"https://openalex.org/I100930933","display_name":"University College Dublin","ror":"https://ror.org/05m7pjf47","country_code":"IE","type":"education","lineage":["https://openalex.org/I100930933"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Paul McLaughlin","raw_affiliation_strings":["University College Dublin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University College Dublin","institution_ids":["https://openalex.org/I100930933"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024511233","display_name":"Brian P. Hallahan","orcid":"https://orcid.org/0000-0003-0518-9757","observed_orcids":["https://orcid.org/0000-0003-0518-9757"]},"institutions":[{"id":"https://openalex.org/I188760350","display_name":"Ollscoil na Gaillimhe \u2013 University of Galway","ror":"https://ror.org/03bea9k73","country_code":"IE","type":"education","lineage":["https://openalex.org/I188760350"]},{"id":"https://openalex.org/I2802635630","display_name":"University Hospital Galway","ror":"https://ror.org/04scgfz75","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2800263200","https://openalex.org/I2802635630","https://openalex.org/I37076085","https://openalex.org/I4210128306","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Brian Hallahan","raw_affiliation_strings":["University Hospital Galway","University of Galway"],"raw_orcid":"https://orcid.org/0000-0003-0518-9757","affiliations":[{"raw_affiliation_string":"University Hospital Galway","institution_ids":["https://openalex.org/I2802635630"]},{"raw_affiliation_string":"University of Galway","institution_ids":["https://openalex.org/I188760350"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082711069","display_name":"Brian N. O'Donoghue","orcid":"https://orcid.org/0000-0001-6240-6952","observed_orcids":["https://orcid.org/0000-0001-6240-6952"]},"institutions":[{"id":"https://openalex.org/I100930933","display_name":"University College Dublin","ror":"https://ror.org/05m7pjf47","country_code":"IE","type":"education","lineage":["https://openalex.org/I100930933"]},{"id":"https://openalex.org/I4210115218","display_name":"St. Vincent's University Hospital","ror":"https://ror.org/029tkqm80","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I4210115218"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Brian O\u2019Donoghue","raw_affiliation_strings":["St Vincent\u2019s University Hospital","University College Dublin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St Vincent\u2019s University Hospital","institution_ids":["https://openalex.org/I4210115218"]},{"raw_affiliation_string":"University College Dublin","institution_ids":["https://openalex.org/I100930933"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089391595","display_name":"John Lally","orcid":"https://orcid.org/0000-0003-3038-0625","observed_orcids":["https://orcid.org/0000-0003-3038-0625"]},"institutions":[{"id":"https://openalex.org/I100930933","display_name":"University College Dublin","ror":"https://ror.org/05m7pjf47","country_code":"IE","type":"education","lineage":["https://openalex.org/I100930933"]},{"id":"https://openalex.org/I183935753","display_name":"King's College London","ror":"https://ror.org/0220mzb33","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I183935753"]}],"countries":["GB","IE"],"is_corresponding":true,"raw_author_name":"John Lally","raw_affiliation_strings":["King\u2019s College London","St Vincent\u2019s Hospital Fairview","University College Dublin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King\u2019s College London","institution_ids":["https://openalex.org/I183935753"]},{"raw_affiliation_string":"St Vincent\u2019s Hospital Fairview","institution_ids":[]},{"raw_affiliation_string":"University College Dublin","institution_ids":["https://openalex.org/I100930933"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5089391595"],"corresponding_institution_ids":["https://openalex.org/I100930933","https://openalex.org/I183935753"],"apc_list":{"value":3550,"currency":"USD","value_usd":3550},"apc_paid":{"value":3550,"currency":"USD","value_usd":3550},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"1","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10023","display_name":"Schizophrenia research and treatment","score":0.9907000064849854,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10023","display_name":"Schizophrenia research and treatment","score":0.9907000064849854,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.004999999888241291,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/clozapine","display_name":"clozapine","score":0.9610000252723694},{"id":"https://openalex.org/keywords/treatment-resistant-schizophrenia","display_name":"treatment-resistant schizophrenia","score":0.9259999990463257},{"id":"https://openalex.org/keywords/psychiatry-trainees","display_name":"psychiatric trainees","score":0.8820000290870667},{"id":"https://openalex.org/keywords/prescribing-knowledge","display_name":"prescribing knowledge","score":0.7419999837875366},{"id":"https://openalex.org/keywords/prescribing-confidence","display_name":"prescribing confidence","score":0.8500000238418579},{"id":"https://openalex.org/keywords/therapeutic-drug-monitoring","display_name":"therapeutic drug monitoring","score":0.8370000123977661},{"id":"https://openalex.org/keywords/agranulocytosis","display_name":"agranulocytosis","score":0.9679999947547913},{"id":"https://openalex.org/keywords/prescribing-education","display_name":"prescribing education","score":0.4490000009536743},{"id":"https://openalex.org/keywords/clinical-education","display_name":"clinical teaching","score":0.37599998712539673},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.47099998593330383},{"id":"https://openalex.org/keywords/adverse-effects-management","display_name":"adverse effects management","score":0.5139999985694885}],"concepts":[{"id":"https://openalex.org/C2780864610","wikidata":"https://www.wikidata.org/wiki/Q221361","display_name":"Clozapine","level":3,"score":0.8978999853134155},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7121000289916992},{"id":"https://openalex.org/C2778715236","wikidata":"https://www.wikidata.org/wiki/Q55622662","display_name":"Discontinuation","level":2,"score":0.6944000124931335},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5403000116348267},{"id":"https://openalex.org/C2776412080","wikidata":"https://www.wikidata.org/wiki/Q7431605","display_name":"Schizophrenia (object-oriented programming)","level":2,"score":0.5351999998092651},{"id":"https://openalex.org/C2777042776","wikidata":"https://www.wikidata.org/wiki/Q4583103","display_name":"Preparedness","level":2,"score":0.47530001401901245},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.4496000111103058},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.4465000033378601},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.427700012922287},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.4027999937534332},{"id":"https://openalex.org/C2776244919","wikidata":"https://www.wikidata.org/wiki/Q2419446","display_name":"Management of schizophrenia","level":4,"score":0.3549000024795532},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.3061000108718872},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.28940001130104065},{"id":"https://openalex.org/C2781204524","wikidata":"https://www.wikidata.org/wiki/Q2802443","display_name":"Diagnosis of schizophrenia","level":3,"score":0.28450000286102295},{"id":"https://openalex.org/C2777288759","wikidata":"https://www.wikidata.org/wiki/Q4164182","display_name":"Dosing","level":2,"score":0.2833999991416931},{"id":"https://openalex.org/C59364581","wikidata":"https://www.wikidata.org/wiki/Q747810","display_name":"Questionnaire","level":2,"score":0.2775999903678894},{"id":"https://openalex.org/C65067816","wikidata":"https://www.wikidata.org/wiki/Q2295139","display_name":"Computer-assisted web interviewing","level":2,"score":0.2702000141143799},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.26980000734329224},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.26910001039505005},{"id":"https://openalex.org/C2779727114","wikidata":"https://www.wikidata.org/wiki/Q170082","display_name":"Psychosis","level":2,"score":0.2687000036239624},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.2680000066757202},{"id":"https://openalex.org/C2780325297","wikidata":"https://www.wikidata.org/wiki/Q834047","display_name":"Schizoaffective disorder","level":3,"score":0.2547999918460846},{"id":"https://openalex.org/C2776012904","wikidata":"https://www.wikidata.org/wiki/Q256771","display_name":"Emergency psychiatry","level":2,"score":0.25429999828338623},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.25220000743865967},{"id":"https://openalex.org/C163355716","wikidata":"https://www.wikidata.org/wiki/Q2154783","display_name":"Risk perception","level":3,"score":0.25209999084472656}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1017/ipm.2026.10254","doi":"https://doi.org/10.1017/ipm.2026.10254","is_oa":true,"landing_page_url":"https://doi.org/10.1017/ipm.2026.10254","pdf_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3E379E3F72FFF085CD8807891D72202E/S0790966726102547a.pdf/div-class-title-trainee-psychiatrists-views-on-clozapine-prescribing-in-ireland-div.pdf","source":{"id":"https://openalex.org/S27105705","display_name":"Irish Journal of Psychological Medicine","issn_l":"0790-9667","issn":["0790-9667","2051-6967"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","erih-plus","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1"],"host_organization":"https://openalex.org/P4310311721","host_organization_name":"Cambridge University Press","host_organization_lineage":["https://openalex.org/P4310311721","https://openalex.org/P4310311702"],"host_organization_lineage_names":["Cambridge University Press","University of Cambridge"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Irish Journal of Psychological Medicine","raw_type":"journal-article"},{"id":"pmid:43003774","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43003774","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Irish journal of psychological medicine","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1017/ipm.2026.10254","doi":"https://doi.org/10.1017/ipm.2026.10254","is_oa":true,"landing_page_url":"https://doi.org/10.1017/ipm.2026.10254","pdf_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3E379E3F72FFF085CD8807891D72202E/S0790966726102547a.pdf/div-class-title-trainee-psychiatrists-views-on-clozapine-prescribing-in-ireland-div.pdf","source":{"id":"https://openalex.org/S27105705","display_name":"Irish Journal of Psychological Medicine","issn_l":"0790-9667","issn":["0790-9667","2051-6967"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","erih-plus","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1"],"host_organization":"https://openalex.org/P4310311721","host_organization_name":"Cambridge University Press","host_organization_lineage":["https://openalex.org/P4310311721","https://openalex.org/P4310311702"],"host_organization_lineage_names":["Cambridge University Press","University of Cambridge"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Irish Journal of Psychological Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9789000153541565}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225639781.pdf","grobid_xml":"https://content.openalex.org/works/W7225639781.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W2003411668","https://openalex.org/W2047732982","https://openalex.org/W2074782150","https://openalex.org/W2108309293","https://openalex.org/W2138231636","https://openalex.org/W2164047304","https://openalex.org/W2168775326","https://openalex.org/W2171781185","https://openalex.org/W2283059496","https://openalex.org/W2461169273","https://openalex.org/W2584668464","https://openalex.org/W2612895336","https://openalex.org/W2807444604","https://openalex.org/W2893591395","https://openalex.org/W2902635231","https://openalex.org/W2923573796","https://openalex.org/W2924471827","https://openalex.org/W2946354012","https://openalex.org/W2947235751","https://openalex.org/W2983781538","https://openalex.org/W2998819434","https://openalex.org/W3083139064","https://openalex.org/W3133199303","https://openalex.org/W3161940807","https://openalex.org/W3170442363","https://openalex.org/W3199963285","https://openalex.org/W4224216310","https://openalex.org/W4318215078","https://openalex.org/W4395063165","https://openalex.org/W4403074648","https://openalex.org/W4411840692","https://openalex.org/W7140328650","https://openalex.org/W7147424117","https://openalex.org/W7160128093","https://openalex.org/W7160717895"],"related_works":["https://openalex.org/W4403074648","https://openalex.org/W4290052563","https://openalex.org/W4312449161","https://openalex.org/W2983781538","https://openalex.org/W7154693459","https://openalex.org/W7143670847","https://openalex.org/W2946354012","https://openalex.org/W3170442363","https://openalex.org/W4395063165","https://openalex.org/W7124741685"],"abstract_inverted_index":{"BACKGROUND:":[0],"Clozapine":[1],"is":[2,21],"the":[3,53,90,113],"only":[4],"licensed":[5],"medication":[6],"with":[7,23,182],"established":[8],"efficacy":[9],"for":[10,115,159,206,243],"treatment-resistant":[11],"schizophrenia":[12],"(TRS),":[13],"yet":[14],"it":[15],"remains":[16],"underutilised":[17],"internationally.":[18],"Delayed":[19],"initiation":[20],"associated":[22,181],"poorer":[24],"clinical":[25,73,98,109,235],"outcomes,":[26],"and":[27,40,67,80,129,142,150,166,179,200,220,233,241],"clinician-related":[28],"factors":[29],"contribute":[30],"to":[31,59,83,100,124],"underuse.":[32],"Limited":[33],"research":[34],"has":[35],"examined":[36],"trainee":[37,87,239],"psychiatrists'":[38],"knowledge":[39,122,202,211],"experience":[41,236],"of":[42,55,57,198,203,227],"clozapine":[43,78,116,191,199,228,231,244],"prescribing.":[44,192,245],"METHODS:":[45],"A":[46],"cross-sectional":[47],"online":[48],"survey":[49,91],"was":[50,119,132,145,157],"distributed":[51],"via":[52],"College":[54],"Psychiatrists":[56],"Ireland":[58],"approximately":[60],"500":[61],"psychiatry":[62],"trainees":[63],"between":[64],"June":[65],"2024":[66],"January":[68],"2025.":[69],"The":[70],"questionnaire":[71],"assessed":[72],"experience,":[74],"knowledge,":[75],"confidence":[76,222,240],"in":[77,117,147,190,223],"management":[79],"perceived":[81],"barriers":[82,169],"initiation.":[84],"RESULTS:":[85],"Seventy-four":[86],"psychiatrists":[88],"completed":[89],"(response":[92],"rate":[93],"14.8%).":[94],"Most":[95,185,215],"respondents":[96,186],"had":[97],"exposure":[99],"clozapine;":[101],"but":[102,156],"fewer":[103],"than":[104],"one-third":[105],"reported":[106,136,187,195,216],"receiving":[107],"specific":[108],"training.":[110],"Knowledge":[111],"regarding":[112,172],"indication":[114,205],"TRS":[118,149],"strong,":[120],"while":[121],"relating":[123],"therapeutic":[125],"drug":[126],"monitoring,":[127,162],"dosing":[128],"agranulocytosis":[130],"risk":[131],"more":[133,213],"variable.":[134,214],"Respondents":[135,194],"positive":[137,196],"attitudes":[138],"towards":[139],"clozapine's":[140],"effectiveness":[141],"safety.":[143],"Confidence":[144],"highest":[146],"identifying":[148],"monitoring":[151,175],"mental":[152],"health":[153,161],"during":[154],"treatment,":[155],"lower":[158],"physical":[160],"managing":[163],"adverse-effects,":[164],"discontinuation":[165],"rechallenge.":[167],"Perceived":[168],"included":[170],"concerns":[171],"adherence,":[173],"blood":[174],"requirements,":[176],"adverse":[177],"effects,":[178],"delays":[180],"hospital":[183],"admission.":[184],"insufficient":[188],"training":[189,219],"CONCLUSIONS:":[193],"perceptions":[197],"good":[201],"its":[204],"TRS,":[207],"although":[208],"practical":[209,225],"prescribing":[210],"appeared":[212],"limited":[217],"formal":[218],"low":[221],"several":[224],"aspects":[226],"management.":[229],"Structured":[230],"education":[232],"supervised":[234],"may":[237],"improve":[238],"preparedness":[242]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}
